新疆乌鲁木齐市男男性行为人群HIV传播动力学的预测和分析
作者:
作者单位:

作者简介:

王凯

通讯作者:

中图分类号:

R512.91

基金项目:

国家自然科学基金(11461073)


Prediction and analysis of HIV transmission dynamics among men who have sex with men in Urumqi, Xinjiang
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的 建立人类免疫缺陷病毒(HIV)感染传播动力学模型,评估男男性行为(MSM)人群HIV感染状况,并预测未来十年新疆乌鲁木齐市MSM人群HIV的流行趋势,为制定合适的防控措施提供定量依据。方法 利用新疆乌鲁木齐市2009-2017年MSM人群HIV的监测数据,建立HIV传播的动力学模型。通过模型分析得到决定疾病传播与否的基本再生数R0,并用收集和估计的参数对模型进行数值模拟,分析乌鲁木齐市MSM人群HIV的流行状况。结果 建立的MSM人群HIV的传播动力学模型拟合效果合理[平均绝对百分比误差(MAPE)=10.89%,均方根百分比误差(RMSPE)=25.74%],基本再生数R0≈0.2616(95%CI:0.2394~0.9299),该模型预测2027年乌鲁木齐市MSM人群HIV的阳性率下降至2%。参数敏感性分析发现,由低危易感者发展成为高危易感者的比例、由HIV感染者发展成为艾滋病患者的比例和高危易感者发展成为低危易感者的比例是影响MSM人群HIV流行的主要因素。结论 乌鲁木齐市MSM人群HIV感染呈现持续流行,相关部门应加强对MSM人群的防控,推广安全套的使用,加强宣传教育等综合性干预措施,控制MSM人群HIV的流行。

    Abstract:

    Objective To establish the transmission dynamics model of human immunodeficiency virus (HIV) infection, evaluate HIV infection status of men who have sex with men (MSM), and predict HIV epidemic trend of MSM population in Urumqi of Xinjiang in the next decade, so as to provide quantitative basis for formulating appropriate prevention and control measures. Methods Based on HIV surveillance data of MSM population in Urumqi from 2009 to 2017, a dynamic model of HIV transmission was established. Through the model analysis, basic reproductive number R0 which determined disease spread was obtained, model was numerically simulated with the collected and estimated parameters to analyze the prevalence of HIV among MSM in Urumqi. Results Fitting effect of the established HIV transmission dynamics model for MSM population was rational (mean absolute percentage error[MAPE]=10.89%, root mean square percentage error[RMSPE]=25.74%, basic reproductive number R0≈0.2616[95%CI:0.2394-0.9299]), model predicted that the HIV positive rate of MSM population in Urumqi would decrease to 2% by 2027. Parametric sensitivity analysis found that the main factors affecting HIV prevalence in MSM population were the proportion of low-risk susceptible persons developing into high-risk susceptible persons, proportion of HIV-infected persons developing into acquired immunodeficiency syndrome (AIDS) patients, and proportion of high-risk susceptible persons developing into low-risk susceptible persons. Conclusion HIV infection among MSM population in Urumqi continues to be prevalent, relevant departments should strengthen the prevention and control of MSM population, promote condom use, strengthen publicity, education and other comprehensive intervention measures, so as to control HIV prevalence among MSM population.

    参考文献
    相似文献
引用本文

林丹丹, 曾婷, 张曼,等.新疆乌鲁木齐市男男性行为人群HIV传播动力学的预测和分析[J]. 中国感染控制杂志,2019,18(5):388-395. DOI:10.12138/j. issn.1671-9638.20195006.
LIN Dan-dan, ZENG Ting, ZHANG Man, et al. Prediction and analysis of HIV transmission dynamics among men who have sex with men in Urumqi, Xinjiang[J]. Chin J Infect Control, 2019,18(5):388-395. DOI:10.12138/j. issn.1671-9638.20195006.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2019-01-02
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2019-05-28
  • 出版日期: